Additionally, associations between sexual abuse and depression, eating disorders, and post-traumatic stress disorder were strengthened by a history of rape.

“Survivors of sexual abuse are commonly seen in general medical practice,” says Ali Zirakzadeh, M.D., principal investigator of the study.

“Sexual abuse survivors face a challenging spectrum of physical and mental health symptoms, which results in high health care utilization, oftentimes without improvement in quality of life.”

The study reports prevalence rates of sexual abuse in some populations are as high as 21 percent in adults and 33 percent in children. Furthermore, sexual abuse survivors can represent up to 25 percent of patient panels in primary care practices.

Researchers also explored why some abuse survivors do not experience psychiatric symptoms and suggest that genetic variability may confer a level of protection.

“The protective effect of certain genes against the development of psychiatric disorders in abuse survivors is an intriguing prospect. If confirmed, future testing may more effectively identify victims of abuse who are at increased risk to develop psychiatric disease and lead to the development of better interventions and treatment,” says Dr. Zirakzadeh.

Dr. Zirakzadeh adds, “The good news for patients is that physicians are now more aware of the link between abuse and psychiatric illness so that abuse survivors may be more readily identified and referred to specialists for treatment. We hope that heightened awareness in clinical practice leads to improved outcomes for our patients.”

Related Articles

Rick Nauert PhD

Dr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.